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Representing the first collection on the topic, this book builds from foundations to case studies, to future prospects, providing the reader with a rich and comprehensive understanding of the use of multi-criteria decision analysis (MCDA) in healthcare. The first section of the collection presents the foundations of MCDA as it is applied to healthcare decisions, providing guidance on the ethical and theoretical underpinnings of MCDA and how to select MCDA methods appropriate to different decision settings. Section two comprises a collection of case studies spanning the decision continuum, including portfolio development, benefit–risk assessment, health technology assessment, priority setting, resource optimisation, clinical practice and shared decision making. Section three explores future directions in the application of MCDA to healthcare and identifies opportunities for further research to support these.
This book constitutes the refereed proceedings of the 7th International Conference on Evolutionary Multi-Criterion Optimization, EMO 2013 held in Sheffield, UK, in March 2013. The 57 revised full papers presented were carefully reviewed and selected from 98 submissions. The papers are grouped in topical sections on plenary talks; new horizons; indicator-based methods; aspects of algorithm design; pareto-based methods; hybrid MCDA; decomposition-based methods; classical MCDA; exploratory problem analysis; product and process applications; aerospace and automotive applications; further real-world applications; and under-explored challenges.
Vaccinate children against deadly pneumococcal disease, or pay for cardiac patients to undergo lifesaving surgery? Cover the costs of dialysis for kidney patients, or channel the money toward preventing the conditions that lead to renal failure in the first place? Policymakers dealing with the realities of limited health care budgets face tough decisions like these regularly. And for many individuals, their personal health care choices are equally stark: paying for medical treatment could push them into poverty. Many low- and middle-income countries now aspire to universal health coverage, where governments ensure that all people have access to the quality health services they need without r...
Both developing and developed countries face an increasing mismatch between what patients expect to receive from healthcare and what the public healthcare systems can afford to provide. Where there has been a growing recognition of the entitlement to receive healthcare, the frustrated expectations with regards to the level of provision has led to lawsuits challenging the denial of funding for health treatments by public health systems. This book analyses the impact of courts and litigation on the way health systems set priorities and make rationing decisions. In particular, it focuses on how the judicial protection of the right to healthcare can impact the institutionalization, functioning a...
20 CLÉS pour comprendre les enjeux actuels Sous La Direction De Francis Huot AVEC LES TEXTES DE: Yves-Marie Abraham • Antoine Baby-Bouchard • Laurence Bherer • Lisa M. Birch • Philippe Bourke • Shelley Ruth Butler • Julie Caron-Malenfant • Michel Clair • Marc Corbière • Hélène David • Michel David • Olivier Demers-Payette • Myriam Dumais-DesRosiers • Julie Forget • Philippe Gachon • Isabelle Ganache • Mario Gauthier • Sami Ghzala • Luc Godbout • Mireille Goetghebeur • Anne-Sophie Gousse-Lessard • Pierre-Antoine Harvey • Véronique Hivon • Francis Huot • Christa Japel • Christine Labrie • Noémie Larouche • Bernard Lavallée • Sonia LeBel • Solange Lefebvre • Xavier Leloup • Olivier Lemieux • Anne-Sophie Letellier • Marie-Ève Martel • Jean-Philippe Meloche • Richard Ouellet • François Pétry • Marie-Pascale Pomey • Véronique Pronovost • Marie-Pierre Renaud • Denis Roy • Jean-Hugues Roy • Tania Saba • Daniel Savas • Louis Simard • Shauna Sylvester • Patrizia Villotti • Nicolas Zorn et des caricatures de Pascal, Garnotte et Manon Derome
De tout temps, on a parlé de « sénilité ». Mais aujourd'hui, avec l'augmentation de l'espérance de vie, le regard sur les personnes âgées souffrant d'un déficit cognitif lié tout simplement au vieillissement cérébral a changé. Et avec lui, le diagnostic de la maladie d'Alzheimer, qui s'est considérablement étendu. Poser l'étiquette « Alzheimer » sur une personne ne fait qu'exprimer l'horreur qu'inspire le vieillissement à une société qui se croit éternellement jeune. Et à en exclure une partie de la population, nous dit Alain Jean, médecin généraliste et gériatre hospitalier, dans ce livre dérangeant et bouleversant. En nous faisant partager avec une profonde empathie ce que ressentent des personnes très âgées pour qui présent et passé se mêlent, deviennent de plus en plus flous, il aborde un débat plus que d'actualité : à force de vouloir maîtriser à tout prix la vieillesse et la mort, n'est-ce pas la médecine qui perd la raison ?
Jedes Jahr erleiden 270.000 Menschen in Deutschland einen Schlaganfall. In vielen Fällen können die betroffenen Personen wieder nach Hause zurückkehren und ihr Leben fortführen, benötigen dabei aber ambulante Pflege- und Therapiemaßnahmen. Gerade in ländlichen Regionen bringt dies erhebliche Herausforderungen mit sich, denen sich neue Technologien und die Digitalisierung entgegenstellen. Die Beiträger*innen des Bandes diskutieren erste Ergebnisse des Projekts »DeinHaus 4.0 Oberpfalz« aus interdisziplinärer Sicht, bei dem die Möglichkeit des Einsatzes von Telepräsenzrobotern zur Unterstützung ambulanter Pflege- und Therapiemaßnahmen untersucht wird.
The field of multiple criteria decision analysis (MCDA), also termed multiple criteria decision aid, or multiple criteria decision making (MCDM), has developed rapidly over the past quarter century and in the process a number of divergent schools of thought have emerged. This can make it difficult for a new entrant into the field to develop a comprehensive appreciation of the range of tools and approaches which are available to assist decision makers in dealing with the ever-present difficulties of seeking compromise or consensus between conflicting inter ests and goals, i.e. the "multiple criteria". The diversity of philosophies and models makes it equally difficult for potential users of M...
As health costs in the U.S. soar past $1.5 trillion, much evidence indicates that the nation does not get good value for its money. It is widely agreed that we could do better by using cost-effective analysis (CEA) to help determine which health care services are most worthwhile. American policy makers, however, have largely avoided using CEA, and researchers have devoted little attention to understanding why this is so. By considering the economic, social, legal, and ethical factors that contribute to the situation, and how they can be negotiated in the future, this book offers a unique perspective. It traces the roots of EA in health and medicine, describes its promise for rational resourc...